Individual
MAX BOETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2615 N DOWNER AVE, MILWAUKEE, WI 53211-4245
(414) 962-4400
Mailing address
2615 N DOWNER AVE, MILWAUKEE, WI 53211-4245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1407-39
WI
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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